Provider Demographics
NPI:1225589997
Name:J.D.J. ENTERPRISES, LLC
Entity Type:Organization
Organization Name:J.D.J. ENTERPRISES, LLC
Other - Org Name:CARING HANDS HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP ADMINISTRATIVE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-725-6095
Mailing Address - Street 1:1129 SARALAND BLVD S STE A
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-3612
Mailing Address - Country:US
Mailing Address - Phone:251-725-6095
Mailing Address - Fax:251-725-6663
Practice Address - Street 1:1129 SARALAND BLVD S STE A
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-3612
Practice Address - Country:US
Practice Address - Phone:251-725-6095
Practice Address - Fax:251-725-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care